ライフサイエンスコーパス: prehospital

1 ins of demographics and anthropometrics (7), prehospital (11), emergency department (13), diagnosis (

2 onset, 447 (30%) received fibrinolysis (66% prehospital; 97% with subsequent angiography, 84% with s

3 ct-to-device times among groups implementing prehospital activation (88 minutes implementers versus 8

4 nfarction care, performing prehospital ECGs, prehospital activation of the catheterization laboratory

5 a registry participation (N = 311, 84%); and prehospital activation of the laboratory through emergen

6 mergency medical service personnel requested prehospital activation.

7 of the inventory of available medications in prehospital acute myocardial infarction management.

8 In the Prehospital Acute Neurological Treatment and Optimizatio

9 The prospective controlled Prehospital Acute Neurological Treatment and Optimizatio

10 As such, even routine prehospital administration becomes extremely feasible fo

11 Prehospital administration of rPA is a feasible approach

12 Whether prehospital administration of ticagrelor can improve cor

13 Prehospital administration of ticagrelor in patients wit

14 s have undergone only limited evaluation for prehospital administration.

15 gap at critical care initiation relative to prehospital admission standard anion gap is a predictor

16 tical care initiation standard anion gap and prehospital admission standard anion gap is associated w

17 , primarily focusing on the major problem of prehospital adult cardiac arrest.

18 Risks and benefits of ultimate prehospital airway control is a controversial topic.

19 Controlled studies in prehospital airway management are few.

20 Ensuring quality in prehospital airway management is challenging because the

21 Prehospital airway management is difficult with a high r

22 on by emergency medical service leaders that prehospital airway management is prone to error.

23 tors must critically evaluate the quality of prehospital airway management that they are providing to

24 Analysis of prehospital airway management using a prospective regist

25 ness, timeliness, efficiency, and equity for prehospital airway management, specifically endotracheal

26 Airway management strictly following a prehospital algorithm.

27 gan to be developed in an attempt to improve prehospital and acute care for these patients.

28 technologies could improve the potential of prehospital and early hospital care to pre-empt or more

29 the data were analyzed to determine various prehospital and early in-hospital clinical and logistica

30 cident literature has focused exclusively on prehospital and emergency department resources needed fo

31 or Q waves or LBBB between serially obtained prehospital and hospital ECGs enhanced the diagnosis of

32 a or infarction were more common on both the prehospital and hospital ECGs of patients with as compar

33 Prehospital and hospital records were abstracted for cli

34 , likelihood of the OHCA being observed, and prehospital and hospital-based resuscitative factors des

35 requirements, equipment, and development of prehospital and in-hospital airway algorithms are needed

36 Prehospital and in-hospital ECGs were obtained in 3,027

37 nts did not differ significantly between the prehospital and in-hospital groups.

38 The aim of this study was to analyse the prehospital and in-hospital response to the incident and

39 with abusive head trauma had differences in prehospital and in-hospital secondary injuries which cou

40 jured patient is currently practiced in both prehospital and in-hospital settings.

41 nd the United States differ significantly in prehospital and inhospital management, previous comparis

42 ranch block (LBBB) abnormalities between the prehospital and initial hospital ECG improved the diagno

43 Adjusting for prehospital and inpatient covariates, cardiopulmonary re

44 ted with 1-year mortality independently from prehospital and intrahospital risk factors, especially i

45 e association between total medical contact, prehospital, and emergency department delays in antibiot

46 Demographics, injury-related scores, prehospital, and resuscitation events were analyzed.

47 ion, hemoptysis, multilobar infiltrates, and prehospital antibiotics.

48 t Association, addresses only around 1-2% of prehospital arrests, and will have a minimal impact on p

49 including age, gender, current tobacco use, prehospital aspirin use, race, and Acute Physiology and

50 This effect may be potentiated by prehospital aspirin use.

51 Prehospital blood product transfusion in trauma care rem

52 Adults in King County, Washington, with prehospital cardiac arrest and resuscitated by paramedic

53 zed clinical trial that assigned adults with prehospital cardiac arrest to standard care with or with

54 sion criteria were a) emergent operation, b) prehospital cardiac arrest, and c) comfort measures only

55 PR in a swine myocardial infarction model of prehospital cardiac arrest.

56 le-rescuer bystander CPR in a swine model of prehospital cardiac arrest.

57 hermia during CPR (618 patients) or standard prehospital care (580 patients).

58 Medical professionals working in prehospital care and acute care settings are likely to e

59 ains controversial, especially in respect of prehospital care and regionalisation of trauma-care deli

60 whereas in France there is more emphasis on prehospital care coordinated by the Service d'Aide Medic

61 ven after adjustment for patient, event, and prehospital care differences.

62 t advances that have occurred in battlefield prehospital care driven by our ongoing combat experience

63 dy found no benefit associated with advanced prehospital care for patients with severe head injury.

64 Historic advances in combat prehospital care have been made in the last decade.

65 Data were collected from prehospital care to 72 h following admission or death.

66 Among 249 comatose patients who received prehospital care, 205 died; the odds of survival decreas

67 Despite recent advances in prehospital care, multidetector computed tomographic (CT

68 to be developed for effective and adaptable prehospital care, patient transfer, in-hospital care and

69 With recent improvements in prehospital care, trauma specialists face more challengi

70 the trauma centre, with a lesser emphasis on prehospital care, whereas in France there is more emphas

71 e seizures (28.6% vs 7.7%; p < 0.001) during prehospital care.

72 take of 4 key care processes increased after prehospital catheterization laboratory activation (62%-9

73 on myocardial infarction networks focused on prehospital catheterization laboratory activation, singl

74 omputerized ICU chart/monitors, hospital and prehospital charts, and the national death index.

75 Prehospital chest tube insertions (214 vs 158) and surgi

76 g improves outcome after cardiac arrest, but prehospital cooling immediately after return of spontane

77 Although use of prehospital cooling reduced core temperature by hospital

78 The task force recommends against prehospital cooling with rapid infusion of large volumes

79 diac arrest to standard care with or without prehospital cooling, accomplished by infusing up to 2 L

80 Observational evaluation of a large prehospital database established as a part of the Excell

81 mergency department delay (p = 0.04) but not prehospital delay (p = 0.61).

82 le range, 2.7-8.0 hr), divided into a median prehospital delay of 0.52 hours (interquartile range, 0.

83 als were associated with advanced pathology, prehospital delays were more profoundly related to worse

84 This hinges on well-defined prehospital destination criteria, interfacility transfer

85 a system planning efforts should focus on 1) prehospital destination protocols that allow direct tran

86 tients are also under investigation, such as prehospital differential blood pressure management, reve

87 nded in the following situations: (1) longer prehospital duration; (2) lower National Institute of He

88 ital arrival was longer among those having a prehospital ECG (152 vs. 91 min, p < 0.001).

89 n </=8 minutes, on-scene time </=15 minutes, prehospital ECG acquisition to ST-elevation myocardial i

90 elevation myocardial infarction diagnosed by prehospital ECG between May 2007 and March 2009.

91 The prehospital ECG group was more likely to receive thrombo

92 The prehospital ECG has been proposed as a means of rapidly

93 earest PCI center, initial heart rhythm, and prehospital ECG information was performed.

94 The prehospital ECG is infrequently utilized for diagnosing

95 Efforts to implement the prehospital ECG more widely and more rapidly may be indi

96 ardial infarction patients identified with a prehospital ECG treated at 371 primary percutaneous coro

97 or-to-activation time include the following: prehospital ECG use (61% shorter, 95% confidence interva

98 ardial infarction, and among patients with a prehospital ECG, is associated with a longer time from s

99 ardial infarction patients identified with a prehospital ECG, the rate of ED bypass varied significan

100 onary syndromes and can be identified by the prehospital ECG.

101 Prehospital ECGs were obtained in 3,768 (5%) of 66,995 N

102 ation myocardial infarction care, performing prehospital ECGs, prehospital activation of the catheter

103 We sought to determine whether the prehospital electrocardiogram (ECG) improves the diagnos

104 t and subsequent outcomes of patients with a prehospital electrocardiogram (ECG) in a large, voluntar

105 Wireless technologies used to transmit prehospital electrocardiograms (ECGs) have helped to dec

106 This process is accelerated with prehospital electrocardiography and notification.

107 n be reduced by timely delivery of effective prehospital emergency care.

108 It was coordinated by the prehospital emergency medical service and encompassed th

109 e in cardiac arrest and were given CPR by 15 prehospital emergency medical service units.

110 Critical care is a continuum that includes prehospital, emergency department (ED), and intensive ca

111 inical information regarding patients across prehospital, emergency department, and acute care hospit

112 ent variables encompassing demographic data, prehospital, emergency department, and pediatric critica

113 l indicators across all treatment locations (prehospital, emergency department, operating room, and I

114 es to simulate conventional treatment in the prehospital, emergency room, and early intensive care un

115 to phases to simulate treatment in a typical prehospital, emergency room, and intensive care unit.

116 Among 58,934 prehospital encounters, 2,683 had community-acquired sep

117 ntilation and oxygenation to patients in the prehospital environment and that are safe and effective,

118 Additional adjustment for prehospital exposure time and intravenous fluid therapy

119 However, prehospital factors such as postresuscitation electrocar

120 psychotic medication on hospital discharge); prehospital features (psychotic > or =3 months before ad

121 e relevance of findings from prior trials of prehospital fibrinolysis has become less certain.

122 Prehospital fibrinolysis markedly improved access to tim

123 .57 (95% confidence interval, 0.36-0.88) for prehospital fibrinolysis versus pPCI, and 0.63 (95% conf

124 Prehospital fibrinolysis with timely coronary angiograph

125 It is not known whether prehospital fibrinolysis, coupled with timely coronary a

126 tive use of fibrinolytic therapy, especially prehospital fibrinolysis, when primary percutaneous coro

127 t count, hemoglobin, prehospital plasma, and prehospital fluids (100 pg/mL higher adrenaline predicte

128 patients co-morbidities, acuity of illness, prehospital functional status, and preferences with rega

129 ts 15 years or older with blunt trauma and a prehospital Glasgow Coma Scale score of 8 or less who di

130 ) after adjusting for Injury Severity Score, prehospital Glasgow Coma Scale, and plasma catecholamine

131 definite stent thrombosis were lower in the prehospital group than in the in-hospital group (0% vs.

132 .001) and an increase in missions achieving prehospital helicopter transport in 60 minutes or less (

133 Gates mandated prehospital helicopter transport of critically injured c

134 Detailed data for those who underwent prehospital helicopter transport were analyzed according

135 Twenty-two patients who sustained prehospital hypotension following blunt trauma (15 males

136 d patient cohorts suggest that an episode of prehospital hypotension post trauma leads to early, dyna

137 rs were associated with survival: absence of prehospital hypoxia (adjusted hazard ratios, 0.20; 95% C

138 MI of less than 6 hours' duration, comparing prehospital (in the ambulance) versus in-hospital (in th

139 The value of prehospital initiation of glycoprotein IIb/IIIa inhibito

140 Prehospital initiation of magnesium sulfate therapy was

141 (ER-TIMI) 19 trial tested the feasibility of prehospital initiation of the bolus fibrinolytic retepla

142 st in contemporary practice characterized by prehospital initiation of treatment, optional use of gly

143 e established as a part of the Excellence in Prehospital Injury Care Traumatic Brain Injury Study.

144 Prehospital intravenous (IV) fluid administration is com

145 Variations in care were assessed, including prehospital intubation, intracranial pressure monitoring

146 e was considerable variation in the rates of prehospital intubation, intracranial pressure monitoring

147 The routine use of prehospital IV fluid administration for all trauma patie

148 The harm associated with prehospital IV fluid administration is significant for v

149 We compared patients with versus without prehospital IV fluid administration, using patient demog

150 s significantly higher in patients receiving prehospital IV fluids (4.8% vs. 4.5%, P < 0.001).

151 pothesized that trauma patients who received prehospital IV fluids have higher mortality than trauma

152 Approximately half (49.3%) received prehospital IV.

153 60 J (adult dose) therapies during simulated prehospital life support.

154 ated external defibrillators administered by prehospital medical providers.

155 Prehospital medications and comorbidities were analyzed

156 and encompassed the public emergency system (prehospital mobile units, community-based emergency unit

157 study included patients aged 18 to 85 years, prehospital modified Rankin Scale </=3, ICH volume < 60m

158 In contrast, prehospital mortality from sudden cardiac arrest (SCA) r

159 t-centeredness (n=1) of injury care spanning prehospital (n=8), hospital (n=19), and posthospital (n=

160 ation, but rates and factors associated with prehospital neurologic deterioration (PND) are unknown.

161 Adjusting for mode of arrival, prehospital notification, and onset-to-arrival time, the

162 Prehospital NSIAD use was independently associated with

163 advanced life support rescuers (paramedics, prehospital nurses, and EMS physicians) who reported at

164 hypothesis that perforation is most often a prehospital occurrence and/or not strictly a time-depend

165 No treatment prehospital (odds ratio [OR] 2.4, 95% CI 1.2-4.5) and mo

166 After adjustment for prehospital (odds ratio, 0.93; 95% confidence interval,

167 61% (147) of 240 episodes were treated prehospital, of which 32 (22%) episodes were terminated.

168 ic Health Evaluation II score), patient age, prehospital or arrival hypotension, admission from a lon

169 mitations in the ability to transfuse in the prehospital or combat setting have stimulated research i

170 initial transfusion, regardless of location (prehospital or during hospitalization), was associated w

171 luded survival at 30 days and a composite of prehospital or in-hospital cardiac arrest or in-hospital

172 es in Afghanistan, blood product transfusion prehospital or within minutes of injury was associated w

173 There were 181 prehospital patients who received percutaneous coronary

174 scoring systems are typically used to assist prehospital personnel determine which patients require t

175 She was resuscitated by prehospital personnel yet remained comatose at arrival t

176 eased at each stage but was strongest in the prehospital phase (odds ratio, 1.11 [95% CI, 1.06-1.16])

177 This paradigm can also be extended to the prehospital phase of treating acute MI in two ways: 1) f

178 During a 4-hr "prehospital phase," pigs were resuscitated with HBOC-201

179 end of 60 min of resuscitation, a simulated prehospital phase.

180 Prehospital physician-led care may produce significant b

181 jects were propensity-score matched based on prehospital physiology and injury severity.

182 re, base excess, platelet count, hemoglobin, prehospital plasma, and prehospital fluids (100 pg/mL hi

183 ogic and anatomic injury severity, and other prehospital procedures as covariates.

184 The changes to our prehospital protocol for adult cardiac arrest that optim

185 from nonshockable initial rhythms treated by prehospital providers in King County, Washington, over a

186 These technologies will assist prehospital providers in quickly identifying and triagin

187 k prediction rules may be safely utilized by prehospital providers, although more data is needed.

188 ught to determine the operational effects of prehospital regionalization of nontrauma, nonarrest crit

189 a retrospective analysis of the London-wide prehospital response and the in-hospital response of one

190 res additional planning precision beyond the prehospital response phase.

191 port restoration of spontaneous circulation, prehospital restoration of spontaneous circulation, hosp

192 We compared successful prehospital resuscitation (hospital admission) and survi

193 s from the Resuscitation Outcomes Consortium Prehospital Resuscitation IMpedance threshold device and

194 s from the Resuscitation Outcomes Consortium Prehospital Resuscitation Impedance Valve and Early Vers

195 OC-PRIMED [Resuscitation Outcomes Consortium Prehospital Resuscitation Using an Impedance Valve and E

196 rhythm other than asystole during continued prehospital resuscitation.

197 (AOR, 0.74; 95% CI, 0.62-0.88; P=0.001), and prehospital return of spontaneous circulation (AOR, 0.81

198 uate the association between time of day and prehospital return of spontaneous circulation and 30-day

199 out-of-hospital cardiac arrest patients with prehospital return of spontaneous circulation and evalua

200 ht did not have significantly lower rates of prehospital return of spontaneous circulation compared w

201 Of 1507 patients with prehospital return of spontaneous circulation, 1359 (90.

202 esignated referral centers using a validated prehospital risk score; we studied three regionalization

203 as compared between study patients receiving prehospital rPA and sequential control patients from 6 t

204 plase (rPA) and determined the time saved by prehospital rPA in the setting of contemporary emergency

205 ristics associated with an increased risk of prehospital SCA and used these variables to build an SCA

206 At the early phase of STEMI, the risk of prehospital SCA can be determined through a simple score

207 f the patients with STEMI at higher risk for prehospital SCA could facilitate rapid triage and interv

208 e and effective as intravenous lorazepam for prehospital seizure cessation.

209 nstrumental variable to adjust for potential prehospital selection bias.

210 We investigated the association between prehospital serum 25-hydroxyvitamin D [25(OH)D] concentr

211 Endotracheal intubation success rates in the prehospital setting are variable.

212 neurologist can provide thrombolysis in the prehospital setting faster than treatment in the hospita

213 Airway management in the prehospital setting has substantial challenges.

214 or use of supraglottic airway devices in the prehospital setting improves outcomes following out-of-h

215 between time of day and OHCA outcomes in the prehospital setting is unknown.

216 urden of acute cardiovascular illness in the prehospital setting nor make progress toward reducing th

217 RECENT FINDINGS: Research in the prehospital setting to evaluate the need for cervical sp

218 In the prehospital setting, countershock terminates ventricular

219 se, by how interventions are provided in the prehospital setting, making that venue critical for life

220 ents for haemorrhagic stroke) options in the prehospital setting, thus functioning as a tool for rese

221 atients who did not receive IV fluids in the prehospital setting.

222 e and rapid reperfusion, particularly in the prehospital setting.

223 d intravenous drugs on cardiac rhythm in the prehospital setting.

224 sidered ideal in emergency situations in the prehospital setting.

225 le alternative to direct laryngoscopy in the prehospital setting.

226 focused on early seizure termination in the prehospital setting.

227 ded use of REBOA in emergency department and prehospital settings.

228 tment protocols and outcomes in hospital and prehospital settings.

229 esuscitation in 44.7%, 30.3%, and 23.4%; and prehospital shock from a defibrillator in 54.7%, 45.0%,

230 n on hospital arrival and had not received a prehospital shock from a defibrillator.

231 atched to recipients by mechanism of injury, prehospital shock, severity of limb amputation, head inj

232 ax, abdomen, extremities), and occurrence of prehospital shock.

233 In this acute myocardial infarction model of prehospital single-rescuer bystander CPR, assisted venti

234 In this pediatric asphyxial model of prehospital single-rescuer bystander CPR, chest compress

235 al mortalities for patients with and without prehospital statin use (odds ratio 1.06, 95% confidence

236 Prehospital statin use was not associated with delirium

237 % CI, 0.44-1.66; p = 0.18), yet the longer a prehospital statin user's statin was held in the ICU, th

238 Evaluation II was 25 (19-31), 257 (34%) were prehospital statin users and 197 (26%) were ICU statin u

239 n the field, has been suggested as a primary prehospital strategy.

240 esent reviewing early treatment with tPA and prehospital stroke evaluation and treatment.

241 , thus functioning as a tool for research on prehospital stroke management.

242 ication algorithm at dispatcher level; and a prehospital stroke team.

243 Studies of prehospital stroke treatment consistently report a reduc

244 Implementation of prehospital stroke triage is a public policy interventio

245 Implementation of a prehospital stroke triage policy in Chicago resulted in

246 ng the study period and partly accounted for prehospital survival trends.

247 val was attributable to both higher rates of prehospital survival, where risk-adjusted rates increase

248 pears to occur after hospitalization, not in prehospital survival.

249 Use of prehospital systemic corticosteroid therapy may prevent

250 We found a linear association between lowest prehospital systolic blood pressure and severity-adjuste

251 region severity score of 3 or greater) and a prehospital systolic pressure between 40 and 119 mm Hg w

252 d the management of combat casualties in the prehospital tactical setting.

253 ver-triage rates were reduced where advanced prehospital teams did initial scene triage.

254 Those with prehospital thrombolysis were more likely to show resolu

255 In patients not considered for prehospital thrombolysis, both persistent and transient

256 Prehospital time intervals were as follows: 9-1-1 call r

257 ctive of this study was to determine whether prehospital time intervals were associated with ST-eleva

258 ics, wounding mechanism, injuries sustained, prehospital times, location of first laparotomy (Role 3

259 In this patient population, prehospital timing benchmarks were associated with syste

260 consciousness was also associated with more prehospital tonic-clonic activity (22.7% vs 4.2%; P < .0

261 Education and fielding of prehospital tourniquets in the military environment shou

262 Prehospital tourniquets were applied in 194 patients of

263 Initiation of prehospital transfusion and time from MEDEVAC rescue to

264 To examine the association of prehospital transfusion and time to initial transfusion

265 The findings support prehospital transfusion in this setting.

266 e range, 22 to 29 years]; 98% male), 3 of 55 prehospital transfusion recipients (5%) and 85 of 447 no

267 d hazard ratio for mortality associated with prehospital transfusion was 0.26 (95% CI, 0.08 to 0.84,

268 To balance injury severity, nonrecipients of prehospital transfusion were frequency matched to recipi

269 Prehospital transport time and treatment capability are

270 of low surgeon-to-population ratios and poor prehospital transport, even living within a 2-h access z

271 have limited value for prediction of LSIs in prehospital trauma patients with normal standard vital s

272 ocardiographic recordings collected from 159 prehospital trauma patients with normal standard vital s

273 Current prehospital traumatic brain injury guidelines use a syst

274 without adversely affecting ICU occupancy or prehospital travel time.

275 tment of status epilepticus and suggest that prehospital treatment is beneficial, that therapeutic dr

276 to these criteria to develop the Air Medical Prehospital Triage (AMPT) score.

277 e impact that a citywide policy recommending prehospital triage of patients with suspected stroke to

278 Regionalization based on prehospital triage of the critically ill can allocate hi

279 Prehospital triage policy of patients with stroke to pri

280 The success of prehospital triage protocols for patients with ST-elevat

281 While prehospital triage to the closest comprehensive stroke c

282 A prehospital trial in trauma patients has been proposed t

283 gastrointestinal decontamination process, 3) prehospital use of AC, 4) superactivated charcoal, 5) mu

284 Patients who had prehospital use of both statins and aspirin had the lowe

285 We also investigated the effect of combined prehospital use of both statins and aspirin.

286 Prehospital use of iron or erythropoietin and platelet t

287 Prehospital use of statins may be protective against sep

288 Prehospital use of systemic corticosteroids neither decr

289 Prehospital use of the GlideScope was associated with so

290 as strongly associated with saved lives, and prehospital use was also strongly associated with lifesa

291 rch should further explore smoking and other prehospital variables as risks for IF.

292 iatric dosing in a piglet model of prolonged prehospital ventricular fibrillation (VF).

293 High rates of survival from prehospital ventricular fibrillation have been documente

294 for shock (weak or absent radial pulse) and prehospital versus emergency department (ED) tourniquet

295 l infarction, 362 of whom were randomized to prehospital versus hospital thrombolysis and 2,665 of wh

296 ical status among patients resuscitated from prehospital VF or those without VF.

297 investigation was to compare the outcome of prehospital VF victims shocked into asystole or PEA with

298 Among patients identified prehospital with ST-segment-elevation myocardial infarct

299 We studied 1687 patients identified prehospital with ST-segment-elevation myocardial infarct

300 Among patients identified prehospital with ST-segment-elevation myocardial infarct